• 한국보육지원학회지
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• 제16권4호
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• pp.73-92
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• 2020

Objective: The purpose of this study is to examine occupational safety accidents of child care teacher and to suggest preventive measure in occupational safety health and safety for child-care teacher. Methods: We investigated laws, policy, and previous studies related occupational safety and health for child care teacher. Especially, we reviewed the legal definition of child-care teacher to identify whether Occupational Safety and Health acts cover child-care teacher. Also cross tabulation and a qualitative analysis were conducted for occupational accidents in child care centers from 2013-2018. Results: Safety and health related policies to protect child care centers have been carried out by child care Center Safety and Insurance Association and the Child Care Support Center, but it has mainly been functioned to protect children excluding child care teacher. The most occupational accidents occur in worker aged 40s. The most type of occupational accident were falling down on the floor and surface. Also we could find that there is a high risk of falls, and musculoskeletal disorders through qualitative analysis on occupational accidents cases of child-care teacher. Conclusion/Implications: We suggest to improve the system for protecting child care workers including strengthening occupational safety and health education for child care workers, expanding coverage of national project to prevent occupational accidents.

• 대한기계학회논문집B
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• 제36권11호
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• pp.1105-1110
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• 2012

척추는 인간의 근골격계 건강에 큰 영향을 미치는 신체 부위 중 하나이다. 최근에 고령화 사회에 진입하게 되면서 요통과 같은 척추 질환이 급속하게 증가하고 있다. 이러한 척추 질환의 요인에는 선천적인 척추 장애나 스포츠 및 교통사고의 부상뿐만 아니라 일상생활에서 반복적으로 취하는 나쁜 자세도 포함된다. 잘못된 척추 자세는 척추 디스크에 압력을 주어 퇴행성 변화를 가져옴으로써 척추를 변형시키고 척추질환을 일으킨다. 따라서 본 연구에서는 여러 나쁜 자세를 취했을 때 흉추와 요추 관절의 3 차원 관절 각도를 분석하였다. 그 결과로부터 일상생활에서의 나쁜 자세가 굽힘/신전, 측면 굽힘, 축 회전 방향으로 척추 관절에 각도 변형을 일으키고 정상범위에서 벗어날 수 있음을 알 수 있었다. 향후 연구로써 척추관절의 각도변화가 디스크와 인대 및 근육 등에 미치는 영향에 대한 연구가 필요하다 생각된다.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.152-156
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• 2020

Purpose: The subjective visual vertical (SVV) test is used to evaluate the otolith function in the inner ear. This study compared the different balance ability according to the results of the SVV in healthy adults. Methods: This study recruited 30 normal healthy subjects who did not have neurological and musculoskeletal disorders. The subjects were divided into experimental and control groups based on the results of SVV: experimental group, >2°; control group, <2°. The static balance ability was evaluated using the Fourier Index, which could evaluate the balance capacity objectively and quantitatively. Results: The mean angle of the SVV in the experimental and control groups was 4.44° and 0.59°, respectively. In the result of the Fourier series, the F1 frequency band in the experimental group showed a significantly higher value under one condition compared to the control group (p<0.05). In the F2-4 and F5-6 frequency bands, the experimental group showed a significant increase in the Fourier series value under the four conditions compared to the control group (p<0.05). In the F7-8 frequency band, significantly higher values of the Fourier series were observed in the experimental group under the three different conditions (p<0.05). Conclusion: These results showed increased trunk sway while maintaining static balance in the experimental group who showed a larger SVV angle compared to the control group. The SVV can be applied to evaluate the vestibular system and balance ability in normal adults.

• 한국시뮬레이션학회논문지
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• 제15권3호
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• pp.93-101
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• 2006

근래에 작업자의 근골격계 질환이 산업현장의 주요한 논제로 등장하였다. 이러한 문제를 줄이기 위하여 다양한 방법들이 사용되고 있는데 그 중의 하나가 제품설계, 치구설계, 작업장 설계를 할 때 작업자의 안전을 최대한 확보하도록 설계단계에서 개선을 하는 것이다. 최근에 급속히 발전하고 있는 3D 시뮬레이션 기술을 사용하면 작업장을 설계하는 단계에서 제품 및 치구의 3D 도면을 이용하여 가상의 작업공간을 구축한 후 작업자의 작업 자세를 사전에 검증해 볼 수 있기 때문에 작업장 구축 후 발생할 수 있는 많은 문제점들을 사전에 검증하여 설계실패비용을 최소화할 수 있다. 본 논문은 3D 작업자 시뮬레이션을 이용하여 굴삭기 공장의 특정한 공정을 대상으로 개선 및 최적화를 하기위한 연구다. 먼저 CATIA를 이용하여 제품과 치구 등 작업장 구축을 위한 3D 모델을 개발하였다. 그리고 IGRIP, DPM. Human 등의 개발도구를 복합적으로 이용하여 작업장에서의 작업내용을 시뮬레이션 할 수 있는 모델을 개발한 후 작업 자세에 대한 분석을 수행하였다. 분석결과는 작업장을 개선하는데 이용하였다.

• 대한임상전기생리학회지
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• 제9권2호
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• pp.1-6
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• 2011

Purpose : This study aims to examine changes in electromyogram (EMG) signals detected from the tibialis anterior muscle during repetitive contraction exercises in normal female adults. Methods : The subjects of this study were 10 normal adult females without any musculoskeletal or nervous system disorders. A total of 30 contractions were made repetitively with maximal voluntary contraction exercise for six seconds and a resting time for three seconds. Changes in muscle contractions were measured using dynamometer and EMG signals such as root mean square (RMS), integrated EMG (IEMG), and median frequency (MDF). Results : The result of measurement showed no significant differences in IEMG and RMS in accordance with the increase in the number of contractions. MVIC and MDF showed significant differences in accordance with the increase in the number of contractions (p<0.05). Conclusion : This study demonstrated that repetitive tibialis anterior muscle contraction resulted in a significantly different MVIC and MDF but no significant differences in IEMG and RMS. Therefore, compared to other lower leg muscles, the tibialis anterior muscle is a low-frequency muscle and therefore electrophysiological characteristics of the muscle should be considered in different exercise methods.

• Safety and Health at Work
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• 제6권1호
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• pp.56-61
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• 2015

Frozen food processing workers work under a cold environment which can cause several adverse health effects.This study explored factors affecting workers' health in the frozen food industry in Thailand. Participants comprised 497 workers exposed to a cold working environment and 255 office workers who served as the controls. Data were collected by a survey on the work environment, and the interview of workers for abnormal symptoms. The exposed group had the following characteristics: 52.7% male, overall average age of 27 (SD 6.6) years old, attained elementary education (Grade 4 and Grade 6) (54.1%), married (48.9%), smokers (21.3%), alcohol consumption (31.0%), duration of work was between 1 and 5 years (65.2%), working 6 days a week (82.7%), 1-5 hours of overtime per week (33.8%), office workers (33.9%); work category: sizing (6.9%), peeling (28.3%) dissecting (22.2%), and in the warehouse (8.6%). The temperature in the work environment ranged from $17.2^{\circ}C$ to $19.2^{\circ}C$ in most sections, $-18.0^{\circ}C$ in the warehouse, and $25^{\circ}C$ in the office areas. Warehouse workers had more abnormal symptoms than controls including repeated pain in the musculoskeletal system (OR 11.9; 95% CI 6.12-23.45), disturbance throughout the body (OR 4.60; 95% CI 2.00-10.56), respiratory symptoms (OR 9.73; 95% CI 3.53-26.80), episodic finger symptoms (OR 13.51; 95% CI 5.17-35.33). The study results suggest that workers' health should be monitored especially with regard to back and muscle pain, respiratory symptoms, episodic finger symptoms, and cardiovascular symptoms. Health promotion campaigns such as antismoking and reduction of alcohol consumption should be established because smoking and alcohol consumption are contributing factors to the pathogenesis of Raynaud's phenomenon and peripheral vascular disorders such as hypertension and heart disease.

• 대한인간공학회지
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• 제25권3호
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• pp.17-24
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• 2006

In this paper, we propose a stress analysis on foot by lifting task attitudes. Maximum force and peak pressure were measured on 8 body regions by Pedar system in order to analysis the stress which is affected by task style and angle on foot when Manual Materials Handling task. As for the peak pressure of the whole foot as to the task height during the lifting task, the height from Knuckle to Shoulder was the least in the peak pressure. Also, as for the maximum force and the peak pressure of the whole foot as to the task angle during the lifting task, it could be seen that the more an angle increases, the stress influencing on a foot jumps. As for the maximum force and the peak pressure by foot region as to the task height in case of the lifting task, the height from Knuckle to Shoulder is indicated the smallest value in the maximum force and the peak pressure, thus there is necessary to attain the work design that considered this. Also, as for the maximum force by foot region as to the task angle in case of the lifting task, 0° tasking is indicated to be least, thus there is necessity to be attained the tasking design in a bid to prevent the existence of an angle. The results of this paper are thought to be helpful to the suitable work design, to the prevention of musculoskeletal disorders related to the lower limbs, and to the design of ergonomic safety shoes.

• PNF and Movement
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• 제17권3호
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• pp.391-399
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• 2019

Purpose: This study investigated the three-dimensional moment values of the hip joint for subjects with artificial leg length alterations and subjects with unaltered leg lengths. Methods: Forty-two healthy adults (8 men, 34 women) participated in this study. The selected subjects were able to walk normally, had less than a 1 cm leg length discrepancy, and were instructed to wear shoes that fit their feet. The study participants performed 8 dynamic gait trails to measure the hip joint moment using a three-dimensional motion analysis system. Kinetic and dynamic three-dimensional gait analysis data were collected from infrared cameras, and a force plate was used to standardize the weight of each subject. Results: There were significant correlations between the differences in the leg length discrepancy during right extension, right flexion, right internal rotation, and left extension in hip joint moments (p<0.05). There were significant correlations between the differences in shoe conditions during left extension, right flexion, right extension, and right internal rotation in the hip moments (p<0.05). Conclusion: This study suggests that a leg length discrepancy can affect hip joint moment, which may further exacerbate musculoskeletal disorders, such as osteoarthritis in lower extremity joints. Therefore, further studies should be conducted to verify the impact of clinical interventions on differences in hip joint moment values to correct leg length discrepancies and prevent osteoarthritis in lower extremity joints.

• Journal of Biosystems Engineering
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• 제38권1호
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• pp.64-71
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• 2013

Purpose: The purpose of this study was to select standing posture parameters that have a significant difference according to the severity of spinal deformity, and to develop a novel Cobb angle prediction model for adolescent girls with idiopathic scoliosis. Methods: Five normal adolescents girls with no history of musculoskeletal disorders, 13 mild scoliosis patients (Cobb angle: $10^{\circ}-25^{\circ}$), and 14 severe scoliosis patients (Cobb angle: $25^{\circ}-50^{\circ}$) participated in this study. Six infrared cameras (VICON) were used to acquire data and 35 standing parameters of scoliosis patients were extracted from previous studies. Using the ANOVA and post-hoc test, parameters that had significant differences were extracted. In addition, these standing posture parameters were utilized to develop a Cobb-angle prediction model through multiple regression analysis. Results: Twenty two of the parameters showed differences between at least two of the three groups and these parameters were used to develop the multi-linear regression model. This model showed a good agreement ($R^2$ = 0.92) between the predicted and the measured Cobb angle. Also, a blind study was performed using 5 random datasets that had not been used in the model and the errors were approximately $3.2{\pm}1.8$. Conclusions: In this study, we demonstrated the possibility of clinically predicting the Cobb angle using a non-invasive technique. Also, monitoring changes in patients with a progressive disease, such as scoliosis, will make possible to have determine the appropriate treatment and rehabilitation strategies without the need for radiation exposure.

• Safety and Health at Work
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• 제2권2호
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• pp.105-121
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• 2011

Objectives: This paper presents the framework and protocol design for a construction industry risk management toolbox. The construction industry needs a comprehensive, systematic approach to assess and control occupational risks. These risks span several professional health and safety disciplines, emphasized by multiple international occupational research agenda projects including: falls, electrocution, noise, silica, welding fumes, and musculoskeletal disorders. Yet, the International Social Security Association says, "whereas progress has been made in safety and health, the construction industry is still a high risk sector." Methods: Small- and medium-sized enterprises (SMEs) employ about 80% of the world's construction workers. In recent years a strategy for qualitative occupational risk management, known as Control Banding (CB) has gained international attention as a simplified approach for reducing work-related risks. CB groups hazards into stratified risk 'bands', identifying commensurate controls to reduce the level of risk and promote worker health and safety. We review these qualitative solutions-based approaches and identify strengths and weaknesses toward designing a simplified CB 'toolbox' approach for use by SMEs in construction trades. Results: This toolbox design proposal includes international input on multidisciplinary approaches for performing a qualitative risk assessment determining a risk 'band' for a given project. Risk bands are used to identify the appropriate level of training to oversee construction work, leading to commensurate and appropriate control methods to perform the work safely. Conclusion: The Construction Toolbox presents a review-generated format to harness multiple solutions-based national programs and publications for controlling construction-related risks with simplified approaches across the occupational safety, health and hygiene professions.